On the initial visit for hypertention, the physician should review for history, signs and symptoms of possible secondary hypertension. Findings suspicious for possible secondary hypertension would be: A) A BMI > 40, a neck circumference > 43 cm, snoring and daytime somulence B) A history of chronic nephritis and hematuria C) Binge alcohol drinking and taking diet and herbal supplements D) An abdominal bruit E) All of the above

An individual with a Blood Pressure of 125/84 would be counseled: A) They have normal blood presure B) They have pre-hypertension and should make lifestyle changes C) They need medication

An inpatient with a new stroke 2 days ago develops a blood pressure of 180/110, a pulse of 60, a stable neurologic exam and no symptoms. Appropriate BP treatment would be: A) Lower immediately with Nifedipine 20 mg, break capsulre and give sublingual B) Lower with labatelol 20 mg IV over 2 minutes, then a drip at 2 mg/min to titrate BP to 110/60 C) Serial BP checks and neuro checks, no treatment for now

Goal Blood Pressure for a patient with Diabetes or Renal disease is: A) <100/60 B) <120/70 C) <130/80 D) <135/85 E) <140/90

Patients who are normotensive at age 55 have what percentage chance of developing hypertension? A) 25% B) 50% C) 75% D) 90%

Compelling indications for mortality improving certain types of antihypertensives in special co-morbidities include: A) Congestive Heart Failure B) Known Coronary Artery Disease C) High Risk Status for CAD, > 20% D) Diabetes E) All of the above

Women in child bearing years are best managed with what antihypertensive? A) An ACE Inhibitor B) A Diuretic C) A Beta-blocker

Blood pressure 20/10 above the goal blood presure would indicate what treatment? A) Lifestyle changes, recheck in 6 months B) Monotherapy with alpha-methyldopa C) Double drug therapy with a diuretic and an ACE inhibitor

Important components for a follow-up exam include: A) Review of diet and exercise B) Compliance with medications C) Side effects of medications D) Cost issues E) All of the above

The proper method of measuring BP is: A) Lying on the exam table, left arm superior, with a cuff bladder encircling 50% of the arm B) Sitting on the exam table, with cuff bladder encircling the arm 50%, with the nurses initial BP C) Sitting on the exam table, after sitting for 5 minutes, with cuff bladder encircling the arm 80%, with nurse repeat BP D) You or the nurse obtain the elevated BP after sitting for 5 minutes in a chair with feet on the floor, arm supported heart level, with cuff bladder encircling the arm 80%